workers comp c3 form
Employee Claim (Form C-3)
`Fill out this form to apply for workers compensation benefits because of a work injury or work-related illness. Type or print neatly. This form may also
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Employee Claim (Form C-3) - Workers Compensation Board
If you need additional help completing this form, contact the Workers Compensation Board at 1-877-632-4996. You may also fill this form out online at wcb.ny.
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Injury Compensation for Federal Employees Publication
Status, to notify OWCP of an injured employees return to work following a work-related injury. This electronic form replaces the previous version of form CA-3,
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